____I am interested in a solar water heater for my HOUSE or COTTAGE (please circle one).
____My house/cottage is in the Lower Mainland area.
Call me about a no-obligation free solar site assessment.
____My house/cottage is in the Comox Valley/Campbell River area.
Call me about a no-obligation free solar site assessment.
____I do not qualify for the program but I would like more information about solar water heating.
Do you own your home?: ____ yes, ____ no
(If you live in a rented house, please have your landlord complete
this application.)
NAME:
MAILING ADDRESS:
CITY / POSTAL CODE:
STREET ADDRESS for site visit:
CITY / POSTAL CODE:
Telephone number, day :
Fax:
Telephone number, evening:
email:
(Please circle above the best way to reach you. At what time of day?)
You may print this from your printer, or call (604 ) 946-4433
for more information.
To fax the form, please dial (604) 946 3804
For an e-mail response, please contact:
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